Diagnostic Imaging in Vascular Injuries

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Questions and Answers

What is the role of duplex in vascular injury assessment?

  • To monitor vascular injury progression
  • To guide surgical intervention in vascular trauma
  • To screen for vascular injury and detect intimal tears (correct)
  • To provide definitive diagnosis of vascular injury

Where is angiography best performed in traumatic injury settings?

  • In the radiology department
  • In the operating room (correct)
  • In the ICU
  • In the emergency department

What is the goal of haemorrhage control prior to surgery?

  • To dislodge any clot that has already formed
  • To maintain systolic blood pressure at a level suitable for brain perfusion (correct)
  • To raise blood pressure to increase haemorrhage
  • To administer fluids aggressively

What is the role of angioplasty balloon catheter in haemorrhage control?

<p>To pass into the proximal vessel and inflate the balloon for proximal control (A)</p> Signup and view all the answers

What is the priority in volume resuscitation after haemorrhage control?

<p>Aggressive volume resuscitation to restore circulating blood volume (B)</p> Signup and view all the answers

What is the goal of manual compression in haemorrhage control?

<p>To reduce bleeding by applying direct pressure (A)</p> Signup and view all the answers

What is the primary goal of administering warmed fluids-crystalloid, blood or clotting factors in vascular trauma patients?

<p>To correct acidosis and hypothermia (D)</p> Signup and view all the answers

What is the most significant complication of ligation of the external iliac artery, common femoral or superficial femoral?

<p>Critical limb ischaemia (A)</p> Signup and view all the answers

What is the typical pressure range in a compartment?

<p>5-15 mmHg (A)</p> Signup and view all the answers

What is the primary mechanism of compartment syndrome?

<p>Intra-compartmental pressure causing capillary collapse (B)</p> Signup and view all the answers

Which of the following is NOT a complication of vascular trauma?

<p>Pulmonary embolism (D)</p> Signup and view all the answers

What is the primary indication for thrombectomy in vascular trauma?

<p>To manage thrombosis following transection (C)</p> Signup and view all the answers

What is the recommended positioning for the foot in patients with vascular injury to prevent contracture?

<p>Neutral position (C)</p> Signup and view all the answers

What is the typical timeframe for closing an incision for fasciotomy?

<p>Three to five days (D)</p> Signup and view all the answers

What is the primary concern in managing patients with popliteal artery injury?

<p>Controlling haemorrhage (A)</p> Signup and view all the answers

What imaging modality is typically used to diagnose vascular injury?

<p>CT angiogram (B)</p> Signup and view all the answers

What is the treatment of choice for a transected popliteal artery?

<p>Interposition vein graft (A)</p> Signup and view all the answers

What is the typical source of the interposition graft used to repair the popliteal artery?

<p>Lt great saphenous vein (C)</p> Signup and view all the answers

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